Open Access DOI:10.23937/2378-3656/1410243
The Pathogenesis and Clinical Significance of Gastrointestinal Xanthelasma: A Case Report and Review of Literature
Marianna G Mavilia and George Y Wu
Article Type: Case Report | First Published: November 26, 2018
Xanthelasmas are lesions containing lipid-filled histiocytes, which can be found on the skin or in the gastrointestinal tract. Gastrointestinal xanthelasmas (GX) are rare lesions typically found incidentally on esophagogastroduodenoscopy. Several risk factors have been identified for development of GX including dyslipidemia, fatty liver, radiotherapy, Helicobacter pylori infection, and immunosuppression. We present a case of a gastroesophageal xanthelasma in a 78-year-old male without risk facto...
Open Access DOI:10.23937/2474-3682/1510122
Pressure Ulcers due to a Tunneled Central Venous Catheter in a Patient on Chronic Maintenance Hemodialysis
Gaetano Alfano, Ferrari Annachiara , Francesco Fontana and Gianni Cappelli
Article Type: Image Article | First Published: November 26, 2018
We describe a rare complication given by tunneled central venous catheter in a 95-years-old woman on chronic maintenance hemodialysis (HD). The cause of end-stage renal disease was hypertensive nephrosclerosis. She suffered from ischemic heart disease and mild cognitive impairment. Her weight was 85.9 Ib (39 kg), resulting in a body mass index (BMI) of 18.1 kg/m2. She started hemodialysis in 2002 at age of 79-years-old with a dialysis regimen of 3 hours and a half, three days a week....
Open Access DOI:10.23937/2572-4061.1510014
Exposure and Risk Assessment of Selected Chemical Hazards in Cabbage and Lettuce
Isaac W Ofosu, Samuel Akomea-Frempong, Emmanuel De-Graft J Owusu-Ansah and Godfred Darko
Article Type: Original Research | First Published: November 26, 2018
Many health-conscious consumers are increasingly making deliberate choices for plant-based diets because probably they think they were safer. Majority of these consumers who dwell in cities therefore demand leafy vegetables for their daily consumption. The demand has created the opportunity for many urban dwellers to join the business of vegetable cultivation using every space available. Urbanization is associated with industrialization, and with it comes the attendant anthropogenic hazards. Sub...
Open Access DOI:10.23937/2572-4061.1510013
A Review of Environmental Contamination by Organochlorine and Organophosphorus Pesticides in Egypt
Farag M Malhat, Naglaa M Loutfy, Sara M Greish and Mohamed Tawfic Ahmed
Article Type: Review Article | First Published: November 26, 2018
All pesticides are potentially toxic to all sorts of life and some are even classified as probable human carcinogens, neutrotoxics and endocrine system disruptors. The toxicity level of a pesticide depends on the lethal dose (LD) of the chemical, the length of exposure, and the route of entry or absorption by the body. There are many different pesticides in use today with very different modes of action and levels of toxicity. To protect the public, WHO has developed a hazard classification syste...
Open Access DOI:10.23937/2572-3243.1510061
Reversed Shoulder Arthroplasty on Chronic Glenohumeral Dislocations: A Small Retrospective Cases Series
Miguel Frias, Henrique Sousa, Tiago Pinheiro Torres and Pedro Lourenco
Article Type: Case Series | First Published: November 24, 2018
Anterior dislocation of the shoulder may go undiagnosed and may thus left untreated for a variable length of time. Chronic locked anterior dislocations of the glenohumeral joint is a rare condition. Its diagnosis and management can be challenging. Reverse shoulder arthroplasty has yelded satisfactory outcomes in patients with cuff tear arthropaty and other degenerative changes of the shoulder joint. The concept of this implant theoretically allows stabilization of the dislocated shoulder indepen...
Open Access DOI:10.23937/2474-3682/1510121
A Case of Gastric Obstruction: A Giant Stomach
Yao Yu and Yisen Zhang
Article Type: Image Article | First Published: November 24, 2018
A seventeen-month-old boy presented with a seven-day history of vomit and abdominal pain. After treatment of prokinetics agents, his symptoms of vomiting remitted. However, he began to have continuous abdominal distension with worse mental status and his stomach is giant. Gastric obstruction was caused by eating myrica rubra. The patient have congenital malformation which make the condition even worse. Gastric obstruction complicated with congenital malformation is easy to be misdiagnosed in chi...
Open Access DOI:10.23937/2474-3682/1510120
Blue Urine
Lorna Ting and Liew Yew Toong
Article Type: Image Article | First Published: November 24, 2018
A 25-year-old gentleman presented with recurrent right lower neck swelling for 2 years. The recurrent attack of infections were always precipitated by upper respiratory tract infection. On clinical examination, there was a cystic swelling located at right lower neck, and anterior to sternocleidomastoid muscle. It measured 5 cm by 5 cm in diameter, with a sinus opening (Figure 1). Computed Tomography fistulogram of the neck showed similar findings that was suggestive of branchial cleft cyst witho...